Organization
KENT WENGER MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENT WENGER MD (OWNER)
(352) 333-1109
Entity
Organization
Contact information
Practice address
310 NW 76TH DR, SUITE A, GAINESVILLE, FL 32607-1593
(352) 333-1109
(352) 331-6323
Mailing address
310 NW 76TH DR, SUITE A, GAINESVILLE, FL 32607-1593
(352) 333-1109
(352) 331-6323
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME86559
FL
Other
Enumeration date
09/15/2007
Last updated
09/15/2007
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